Intact Memory for Irrelevant Information Impairs Perception in Amnesia

Abstract

Memory and perception have long been considered separate cognitive processes, and amnesia resulting from medial temporal lobe (MTL) damage is thought to reflect damage to a dedicated memory system. Recent work has questioned these views, suggesting that amnesia can result from impoverished perceptual representations in the MTL, causing an increased susceptibility to interference. Using a perceptual matching task for which fMRI implicated a specific MTL structure, the perirhinal cortex, we show that amnesics with MTL damage including the perirhinal cortex, but not those with damage limited to the hippocampus, were vulnerable to object-based perceptual interference. Importantly, when we controlled such interference, their performance recovered to normal levels. These findings challenge prevailing conceptions of amnesia, suggesting that effects of damage to specific MTL regions are better understood not in terms of damage to a dedicated declarative memory system, but in terms of impoverished representations of the stimuli those regions maintain.Canadian Institutes of Health Research (MOP-115148 to M.D.B.), the UK Medical Research Council (MC_A060_5PR10 to R.N.A.H.), the Wellcome Trust (grant #082315 to A.C.H.L.), and a European Erasmus grant for studying abroad (IIAG